Advertisement

Spezielle Röntgensymptomatik

  • Günter Luska
  • Regine Saßen
  • Lars Schwarze
Chapter
  • 32 Downloads

Zusammenfassung

Auf der Intensivstation werden viele verschiedene Kathetermaterialien zum Monitoring oder zur Unterstiitzung des Patienten verwendet. Fehllagen dieses Fremdmaterials konnen zu lebensbedrohlichen Situationen fiihren. Deshalb spielt die Thoraxaufnahme direkt nach Einbringen des Fremdmaterials eine essentielle Rolle, und der Kliniker sollte mit der radiologischen Darstellung der richtigen Lage und von Fehllagen des Fremdmaterials vertraut sein (s. ⊡ Abb. 3.1-3.4), um ggf. eine ziigige Korrektur vornehmen zu konnen (⊡ Tabelle 7.1; Zarshenas et al. 1994).

Literatur zu Unterkapitel 7.1

  1. Bankier AA, Fleischmann, Aram L et al (1996) Bildgebung in der Intensivmedizin. Anaesthesist 8: 786Google Scholar
  2. Conces DJ, Holden RW (1984) Aberrant locations and complications in initial placement of subclavian vein catheters. Arch Surg 119: 293–295PubMedCrossRefGoogle Scholar
  3. Conrardy PA, Goodman LR, Lainge R et al (1976) Alteration of endotracheal tube position: Flexion and extension of the neck. Crit Care Med 4:7PubMedCrossRefGoogle Scholar
  4. Ghahremani GG, Gould RJ (1986) Nasoenteric feeding tubes: Radiographic detection of complications. Dig Dis Sci 31: 574–585PubMedCrossRefGoogle Scholar
  5. Goodman LR, Putman CE (1992) Critical Care Imaging, 3rd edn. Saunders, PhiladelphiaGoogle Scholar
  6. Heim P, Maas R, Tesch C, Bucheler E (1998) Pleural drainage in acute thoracic trauma. Comparison ofthe radiologic image and computer tomography. Aktuelle Radiologie 92: 663–667Google Scholar
  7. Hyson EA, Ravin CE, Kelley MJ et al (1977) Intraaortic counterpulsation balloon: radiographic considerations. Am J Roentgenol 128: 915–918Google Scholar
  8. Merriam MA, Cronan JJ, Dorfman GS et al (1988) Radiographically guided percutaneous catheter drainage of pleural fluid collections. Am J Roentgenol 154: 1113–1116Google Scholar
  9. Miller KS, Sahn SA (1987) Chest tubes: indications, technique, management and complications. Chest 91: 258–264PubMedCrossRefGoogle Scholar
  10. Plaus WJ (1990) Delayed pneumothorax after subclavian catheterization. J Parent Entr Nutri 14: 414–415CrossRefGoogle Scholar
  11. Zarshenas Z, Sparschu RA (1994) Catheter placement and misplacement. Crit Care Clinics 10: 417–436Google Scholar

Literatur zu Unterkapitel 7.2

  1. Choi BG, Park SH, Yun EH, Chae KG, Shinn KS (1998) Pneumothorax size: Correlation of supine anteroposterior with erect posterior chest radiographs. Radiology 209: 567–569PubMedGoogle Scholar
  2. Desai SR, Hansell DM (1997) Lung imaging in the adult respiratory distress syndrom: current practice an d new insig hts. Intensive Care Med 23: 7–15PubMedCrossRefGoogle Scholar
  3. Johnson MM, Ely EW, Chiles C, Bowton DL, Friemanas RI, Choplin RH, Haponkin EF (1998) Radiographic assessment of hyperinflation: correlation with objective chest radiographic measurements and mech ani cal venti lator parameters. Chest 113: 1698–1704PubMedCrossRefGoogle Scholar
  4. Pizano LR, Houghton DE, Cohn SM, Frisch MS, Grogan RH (2002) When schould a chest radiograph be obtained after chest tube removal in mechanically ventilated patients? J Trauma 53(6): 1073–1077PubMedCrossRefGoogle Scholar
  5. Weg JG, Anzueto A, Balk RA, Wiedemann HP, Pattishall EN, Schork MA, Wagner LA (1998) The relation of pneumothorax and other air leaks to mortality in the acute respiratory distress syndrom. N Engl J Med 338: 341–346PubMedCrossRefGoogle Scholar

Literatur zu Unterkapitel 7.3

  1. Luska G (1988) Allgemeine Rontgensymptomatologie der Lungenerkrankungen. In: Frommhold W, Diehlmann W, Stender HS, Thurn P: Radiologische Diagnostik in KIinik und Praxis. Thieme, Stuttgart New York, S 929–Google Scholar
  2. Schmidt O, Simon S, Schmitt R, Bremer F, Hohenberger W, Haupt W (2000) Volumetry of peural effusion in multi-morbidity, postoperative patients of a surgical intensive care unit. Comparison of ultrasound diagnosis and thoracic bedside image. Zentralbl Chir 125(4): 375–379PubMedGoogle Scholar

Literatur zu Unterkapitel 7.4

  1. Albert RK, Hubmayr RD (2000) Am J Resp Crit Care Med 161(5): 1660–1665PubMedGoogle Scholar
  2. Gust R, Pecher S, Gust A, Hoffmann V, Bohrer H, Martin E (1999) Effect of patient-controlled analgesia on pulmonary complications after coronary artery bypass grafting. Crit Care Med 27(10): 2218–2223PubMedCrossRefGoogle Scholar
  3. Hedenstierna G (2003) Atelektase und Gasaustausch wiihrend der Narkose. Electromedica 71 (1): 85–88Google Scholar
  4. Malbouisson LM, Busch CJ, Puybasset L, Lu Q, Cluzel P, Rouby J-J (2000) Am J Crit Care Med 161: 2005–2012Google Scholar
  5. Reber A, Nylund U, Hedenstierna G (1998) Position and shape of the diaphragm: implications for atelectasis formation. Anaesthesia 53(11): 1054–1061PubMedCrossRefGoogle Scholar

Literatur zu Unterkapitel 7.5

  1. Desai SR, Hansell DM (1997) Lung imaging in the adult respiratory distress syndrom: current practice and new insights. Intensive Care Med 23: 7–15PubMedCrossRefGoogle Scholar
  2. Gluecker T, Capasso P, Schnyder P et al (1999) Clinical and radiologic features of pulmonaryeodema. Radiographies 19: 1507–1531Google Scholar
  3. Gudinchet F, Rodoni P, Sarraja A, Payot M, Schnyder P (1998) Pulmonary oedema associated with mitral regurgitation: prevalence of predominant right upper lobe involvement in children. Pediatr Radiol 28: 260–262PubMedCrossRefGoogle Scholar
  4. Manier G, Mora B, Casting Y, Guenard H (1984) Pulmonary oedema in pulmonary embolism. Bull Eur Physiopathol Respir 20: 55–60PubMedGoogle Scholar
  5. McConkey PP (2000) Postobstructive pulmonary oedema-a case series and review. Anaesth Intensive Care 28: 72–76PubMedGoogle Scholar
  6. Novak D (1988) Inhalationsschiiden durch Gase. In: Frommhold W, Diehlmann W, Stender HS, Thurn P (Hrsg) Radiologische Diagnostik in Klinik und Praxis. Thieme, Stuttgart New York, S 729Google Scholar
  7. Oelz O, Maggiorini M, Ritter M, Waber U, Jenni R, Vock P, Bartsch P (1989) Nifedipine for high altitude pulmonary oedema. Lancet 2(8674): 1241–1244Google Scholar
  8. Villani F, Galimberti M, Rizzi M, Manzi R (1993) Pulmonary toxicity of recombinant interleukin-2 plus lymphokine-activated killer cell therapy. Eur Respir J 6: 828–833PubMedGoogle Scholar
  9. Woodring JH (1997) Focal reexpansion pulmonary oedema after drainage of large pleural effusions: clinical evidence suggesting hypoxic injury to the lung as the cause of oedema. South Med J 90(12): 1176–1182PubMedCrossRefGoogle Scholar

Literatur zu Unterkapitel 7.6

  1. Abramson S (2001) The air crescent sign. Radiology 218: 230–232Google Scholar
  2. Boersma WG (1999) Assessment of severity of community-acquired pneumonia. Semin Respir Infect 14: 103–114PubMedGoogle Scholar
  3. Butler KL, Sinclair KE, Henderson VJ, McKinney G, Mesidor DA, Katon-Benitez I, Weaver WL (1999) The chest radiograph in critically ill surgical patients is inaccurate in predicting ventilator-associated pneumonia. Am Surg 65: 805–809PubMedGoogle Scholar
  4. Geffers C, Koch J, Sohr D, Nassauer A, Daschner F, Ruden H, Gastmeier P (2000) Establishment of a national database for ICU-associated infections. First results from the ≫Krankenhaus-Infections-Surveillance-System≪. Anaesthesist 49: 732–737PubMedCrossRefGoogle Scholar
  5. Landreau L, Moulaire V, Tarodo P, Jonquet O (1999) Pneumococcal infections in intensive care. Retrospective 8-year study. Presse Med 28: 1505–1508PubMedGoogle Scholar
  6. Moine P, Vercken LB, Chevret S, Gajdos P (1995) Severe community-acquired pneumococcal pneumonia. The French Study Group of Community-Acquired Pneumonia in ICU. Scand J Infect Dis 27: 201–206PubMedCrossRefGoogle Scholar
  7. O’Grady NP, Alexander M, Dellinger EP et al (2002) Guidelines for the prevention of intravascular catheter-related infections. Infect Control Hosp Epidemiol 23(12): 759–769CrossRefGoogle Scholar
  8. Papazian L, Thomas P, Bregeon F, Garbe L, Zandotti C, Saux P, Gaillat F, Drancourt M, Auffray JP, Gouin F (1998) Open lung biopsy in patients with acute respiratory distress syndrome. Anesthesiology 88: 935–944PubMedCrossRefGoogle Scholar
  9. Petersen IS, Aru A, Skodt V, Behrendt N, Bois B, Kiss K, Simonsen K (1999) Evaluation of pneumonia diagnosis in intensive care patients. Scand J Infect Dis 31: 299–303PubMedCrossRefGoogle Scholar
  10. Richards MJ, Edwards JR, Culver DH, Gaynes RP (2000) Nosocomial infections in combined medical-surgical intensive care units in the United States. Infect Control Hosp Epidemiol 21: 510–515PubMedCrossRefGoogle Scholar
  11. Sybrecht GW (1989) Pneumonie, Lungenabszess. In: Fabel H (Hrsg) Pneumologie. Urban und Schwarzenberg, Munchen Wien Baltimore, S 291–Google Scholar
  12. Violan JS, Sanchez-Ramirez C, Mujica AP, Cendrero JC, Fernandez JA, de Castro FR (1998) Impact of nosocomial pneumonia on the outcome of mechanically-ventilated patients. Crit Care 2(1): 19–23PubMedCrossRefGoogle Scholar
  13. Vogl TJ, Hinrichs T, Jacobi V, Bohme A, Hoelzer D (2000) Computed tomography appearance of mucomycosis. Fortschr Rontgenstr 172: 604–608CrossRefGoogle Scholar
  14. Wallace WC, Cinat ME, Nastanski F, Gornick WB, Wilson SE (2000) New epidemiology for postoperative nosocomial infections. Am Surg 66: 874–878PubMedGoogle Scholar

Literatur zu Unterkapitel 7.7

  1. Adnet F, Borron SW, Finot MA, Minadeo J, Baud FJ (1999) Relation of body position at the time of discovery with suspected aspiration pneumonia in poisoned comatose patients. Crit Care Med 27: 745–748PubMedCrossRefGoogle Scholar
  2. Bandla HP, Davis SH, Hopkins NE (1999) Lipoid pneumonia: a silent complication of mineral oil aspiration. Pediatrics 103: E19Google Scholar
  3. Carron JD, Derkay CS (2000) Potpourri aspiration presenting as tension pneumothorax. Am J Otolaryngol 21: 349–351PubMedCrossRefGoogle Scholar
  4. Endlicher E, Furst A, Strotzer M, Messmann H, Kerner T, Scholmerich J, Lock G (1999) ≫Cardiomegalyand pneumonia≪-a misdiagnosis in long-standing achalasia. Dtsch Med Wochenschr 124: 386–390PubMedCrossRefGoogle Scholar
  5. Franquet T, Gimenez A, Roson N, Torrubia S, Sabate JM, Perez C (2000) Aspiration disease: findings, pitfalls, and differential diagnosis. RadioGraphies 20: 673–685Google Scholar
  6. Schmidt H, Manegold BC (2000) Foreign body aspiration in children. Surg Endosc 14: 644–648PubMedCrossRefGoogle Scholar
  7. Wunsch R, Wunsch G, Darge K (1999) Foreign body aspiration. Radiologe 39: 467–471PubMedCrossRefGoogle Scholar

Literatur zu Unterkapitel 7.8

  1. Elliott CG, Goldhaber SZ, Visani L, DeRosa M (2000) Chest radiogrphs in acute pulmonary embolism. Results from the International Cooperative Pulmonary Embolism Registry. Chest 118(1): 33–38PubMedCrossRefGoogle Scholar
  2. Herbold CJ (2002) Spiral computed tomography of pulmonary embolism. Eur Respir J Suppl 35: 13s–21sCrossRefGoogle Scholar
  3. Muller C, Kopka L, Funke M, Funke C, Grabbe E (2001) Diagnosis of lung embolism and underlaying venous thrombosis in multi-slice spiral CT. Rofo Fortschr Geb Rontgenstr 173(6): 528–535CrossRefGoogle Scholar
  4. Raptopoulos V., Boiselle PM (2001) Multi-detector row spiral CT pulmonary angiography: comparison with single-detector row spiral CT. Radiology 221 (3): 606–613PubMedCrossRefGoogle Scholar
  5. Remy-Jardin M, Tillie-Leblond I, Szapiro D, Ghaye B, Cotte L, Mastora I, Delannoy V, Remy J (2002) CT angiography of pulmonary embolism in patients with underlying respiratory disease. Impact of multislice CT on image quality and negative predictive value. Eur Radiol 12(8): 1971–1978PubMedGoogle Scholar
  6. Roberts HC, Kauczor H, Pitton MB, Schweden F, Thelen M (1997) The algorithm of imaging diagnostics of pulmonary embolism-time for a new definition? Fortschr Rontgenstr 166(6): 463–474CrossRefGoogle Scholar
  7. Van Rossum AB, Pattynama PM, Mallens PM, Hermans J, Heijerman HG (1998) Can helical CT replace scintigraphy in the diagnostic process in suspected pulmonary embolism? A retrospective-prospective cohort study focusing on total diagnostic yield. Eur Radiol 8(1): 90–96PubMedCrossRefGoogle Scholar

Literatur zu Unterkapitel 7.9

  1. Bejvan SM, Godwin JD (1996) Pneumomed iastinum: old signs and new signs. AJR 166: 1041–1048PubMedGoogle Scholar
  2. Bergin D, Ennis R, Heogh C, Fenlon HM, Murray JG (2001) The ≫dependent viscera≪ sign in cr diagnostic of blunt traumatic diaphragmatic rupture. AJR 177: 1137–1140PubMedGoogle Scholar
  3. Blair E, Topuzlu C, Davis JH (1971) Delayed or missed diagnosis in blunt chest trauma. J Trauma 11: 129–145PubMedCrossRefGoogle Scholar
  4. Galanski M (1999) Thoraxskelett. In: Galanski M, Wippermann B (Hrsg) Kompendium der traumatologischen Rontgendiagnostik. Springer, Berlin Heidelberg New York Tokio, S 147CrossRefGoogle Scholar
  5. Galanski M, Chavan A (1999) Thoraxorgane. In: Galanski M, Wippermann B (Hrsg) Kompendium der traumatologischen Rontgendiagnostik. Springer, Berlin Heidelberg New York Tokio, S409CrossRefGoogle Scholar
  6. Gavant ML, Mezle PG, Fabian T, Graney MJ, Gold RE (1995) Helical CT of the chest to detect blunt aortic rupture. Radiology 197: 125–133PubMedGoogle Scholar
  7. Gelman R, Mirvis SE, Gens D (1991) Diaphragmatic rupture due to blunt trauma: sensitivity of plain chest radiographs. Am J Roentgenol 156: 51–57Google Scholar
  8. Gerblich AA, Kleinerman J (1977) Blunt chest trauma and the lung. Am Rev Respir Dis 115: 369–370PubMedGoogle Scholar
  9. Glinz W (1985) Stellenwert der bildgebenden Verfahren bei Diagnose und Therapie von schweren Thoraxverletzungen. Radiologe 27: 381–390Google Scholar
  10. Goldstein L, Mirvis SE, Kostribiak IS, Turney SZ (1989) CT diagnosis of acute pericardial tamponade after blunt chest trauma. Am J Roentgenol 152: 739–741Google Scholar
  11. Greene R (1987a) Lung alterations in thoracic trauma. J Thoracic Imaging 2: 1–11CrossRefGoogle Scholar
  12. Greene R(1987b) Adult respiratory distress syndrome: acute alveolar damage. Radiology 163: 57–66PubMedGoogle Scholar
  13. Greene R(1992) Blunt thoracic trauma. In: Syllabus, Greene R, Muhm JR (eds) A categorial course in diagnostic chest radiology. RSNA Publications, pp 297–Google Scholar
  14. Hills MW, Delprado AM, Deane SA (1993) Sternal fractures: associated injuries and management. J Trauma 35: 55–60PubMedCrossRefGoogle Scholar
  15. Killeen KL, Mirvis SE, Shanmuganathan K (1993) Helical CT of diaphragmatic rupture caused by blunt trauma. AJR 173: 1611–1616Google Scholar
  16. Kloppel R et al (2002) Frühes klinisches Management nach Polytrauma mit 1-und 4-Schicht-Spiral-CT. Radiologe 42: 541–546PubMedCrossRefGoogle Scholar
  17. Kumpe DA, Oh KS, Wyman SM (1970) A characteristic pulmonary finding in unilateral complete bronchial transectio. Am J Roentgenol 110: 704–706Google Scholar
  18. Macklin CC (1939) Transport of air along sheaths of pulmonic blood vessels from alveoli to mediastinum: clinical implications. Arch Intern Med 64: 913–926CrossRefGoogle Scholar
  19. Mirvis SE, Shanmuganathan K, Miller BH, White CS, Turner SZ (1996) Traumatic aortic injury: diagnosis with contrast-enhanced thoracic CT-five-year experience at a major trauma center. Radiology 200: 413–422PubMedGoogle Scholar
  20. Murray JG, Caoili E, Gruden JF, Avans SJ, Halvorsen RA, Mackersie RC (1996) Acute rupture of the diaphragma due to blunt trauma: diagnostic sensivity and specifity of CT. AJR 166: 1135–1139Google Scholar
  21. Pison U, Seeger W, Buchhorn R et al (1989) Surfactant abnormalities in patients with respiratory failure and multiple trauma. Am Rev Respir Dis 140: 1033–1039PubMedGoogle Scholar
  22. Ratliff JL, Fletcher JR, Kopriva CJ, Atkins C, Aussem JW (1971) Pulmonary contusion. J Thorac Cardiovasc Surg 62: 638–644PubMedGoogle Scholar
  23. Rieger M et al (2002) Moderne CT-Diagnostik des akuten Thorax-und Abdominaltraums. Radiologe 42: 556–563PubMedCrossRefGoogle Scholar
  24. Rizoli SB, Brennemann FD, Boulanger BR, Maggisano R (1994) Blunt diaphragmatic and thoracic aortic injury: an emergency injury complex. Ann Thorac Surg. 58: 1404–1408PubMedCrossRefGoogle Scholar
  25. Shapiro MJ, Heiberg E, Durham RM, Luchtefeld W, Mazuski JE (1996) The unreliability of CT scans and initial chest radiographies in evaluating blunt trauma induced diaphragmatic rupture. Clin Radiol 1: 27–30CrossRefGoogle Scholar
  26. Shumann WP (1997) CT of blunt abdominal trauma in adults. Radiology 205: 297–306Google Scholar
  27. Simeone JF, Deren MM, Cagle F (1981) The value of the apical cap in the diagnosis of aortic rupture. Radiology 139: 35–37PubMedGoogle Scholar
  28. Stender HS t (1988) Traumatische Thoraxveranderungen. In: Stender HS (Hrsg) Radiologische Diagnostik in Klinik und Praxis. Bd 1, Teil 2: Lunge, Pleura, Thoraxwand. Thieme, Stuttgart New York, S 861Google Scholar
  29. Symbas PN, Justicz AG, Ricketts RR (1992) Rupture of the airways from blunt trauma: treatment of complex injuries. Ann Thorac Surg 54: 177–183PubMedCrossRefGoogle Scholar
  30. Trupka A, Waydhas C, Hallfeldt KK, Nast-Kolb D, Pfeifer KJ, Schweiberer L (1997) Value of thoracic computed tomography in the first assessment of severely injured patients with blunt chest trauma: results of a prospective study. J Trauma 43: 405–411PubMedCrossRefGoogle Scholar
  31. Uffmann M, Fuchs M, Herold CJ (1998) Radiologie des Thoraxtraumas. Radiologe 38: 683–692PubMedCrossRefGoogle Scholar
  32. Wagner RB, Crawford WO, Schimpf PP (1988) Classification of parenchymal injuries of the lung. Radiology 167: 211–214Google Scholar
  33. Wintermark M, Schnyder P, (2001) The Macklin Effect-A frequent etiology for pneumomediastinum in severe blunt chest trauma. Chest 120: 543–547PubMedCrossRefGoogle Scholar

Literatur zu Unterkapitel 7.10

  1. Attinger B, Buchmann P, Largiader F, Geroulanos S (1991) Das einseitige ipsilaterale Lungenodem nach Operation an der Lunge. Helv Chir Acta 58: 181–185PubMedGoogle Scholar
  2. Engberg G, Wiklund L (1988) Pulmonary complications after upper abdominal surgery: Their prevention with intercostal blocks. Acta Anaesthesiol Scand 32: 1–8PubMedCrossRefGoogle Scholar
  3. Jain U, Rao TL, Kumar P, Kleinman BS, Belusko RJ, Kanuri DP, Blakeman BM, Bakhos M, Wallis DE (1992) Radiographic pulmonary abnormalities after different types of cardiac surgery. J Cardiothorac Vase Anesth 6: 514–515CrossRefGoogle Scholar
  4. Katzberg RW, Whitehouse GH, de Weese JA (1978) The early radiologic findings in the adult chest after cardiopulmonary bypass surgery. Cardiovasc Rad 1: 205–211CrossRefGoogle Scholar
  5. Korst RJ, Humphrey CB (1997) Complete lobar collapse follOWing pulmonary lobectomy. Its incidence, predisposing factors, and clinical ramifications. Chest 111: 1285–1289PubMedCrossRefGoogle Scholar
  6. Menke H, Kleine A, Bottger T, Lorenz W, Bahr W, Junginger T (1992) Pulmonale Komplikationen nach abdominalchirurgischen Eingriffen. Chirurg 63: 548–554PubMedGoogle Scholar
  7. Rolla G, Fogliati P, Bucca C, Brussino L, Di Rosa E, Di Summa M, Comoglio C, Malara D, Ottino GM (1994) Effect of pleurotomy on pulmonary function after coronary artery bypass grafting with internal mammary artery. Respir Med 88: 417–420PubMedCrossRefGoogle Scholar
  8. Simmoneau G, Vivien A, Sartene R et al (1983) Diaphragm dysfunction induced by upper abdominal surgery. Am Rev Respir Dis 128: 899–905Google Scholar
  9. Stender HS (1988) Das Thoraxbild nach Operationen. In: Stender HS (Hrsg) Radiologische Diagnostik in Klinik und Praxis. Bd 1, Teil 2: Lunge, Pleura, Thoraxwand. Thieme, Stuttgart New York, S 897Google Scholar
  10. Werff YD van der, Houwen HK van der, Heijmans PJ, Duurkens VA, Leusink HA, Heesewijk HP van, Boer A de (1997) Postpneumonectomy pulmonary eodema. A retrospective analysis of incidence and possible risk factors. Chest 111: 1278–1284PubMedCrossRefGoogle Scholar
  11. Wimmer-Greinecker G, Yosseef-Hakimi M, Rinne T, Buhl R, Matheis G, Martens S, Westphal K, Moritz A (1999) Effect of internal thoracic artery preparation on blood loss, lung function, and pain. Ann Thorac Surg 67: 1078–1082PubMedCrossRefGoogle Scholar
  12. Wiren JE, Janzon L, Hellekant C (1981) Respiratory complications after upper abdominal surgery. Acta Chir Scand 147: 623–629PubMedGoogle Scholar

Literatur zu Unterkapitel 7.11

  1. Artigas A, Bernard GR, Carlet J et al (1998) The American-European consensus conference on ARDS, part 2: Ventilatory, pharmacologic, supportive therapy, study design, stratgies, and issues related to recovery and remodeling. Acute respiratory distress sxndrome. Am J Respir Crit Care Med 157: 1332–1347PubMedGoogle Scholar
  2. Brandstetter RD, Kailash FCCM, Sharma C; Maryanne DeliaBadia RN, Cabreros LJ, Kabinoff GS (1997) Adult respiratory distress syndrom: A disorder in need of improved outcome. Heart Lung 26: 3–14PubMedCrossRefGoogle Scholar
  3. Bouhemad B, Richecoeur J, Lu Q, Malbousson LM, Cluzel P, Rouby JJ, ARDS CT Study Group (2003) Effect of contrast material on computed tomographic measurements of lung volumes in patients with acute lung injury. Crit Care 7(1): 63–71PubMedCrossRefGoogle Scholar
  4. Desai SR, Hansell DM (1997) Lung imaging in the adult respiratory distress syndrom: current practice and new insights. Intensive Care Med 23: 7–15PubMedCrossRefGoogle Scholar
  5. Desai SR, Wells AU, Suntharalingam G, Rubens MB, Evans TW, Hansell DM (2001) Acute respiratory distress syndrom caused by pulmonary and extrapulmonary injury: A comparative CT study. Radiology 218: 689–693PubMedGoogle Scholar
  6. Desai SR (2002) Acute Respiratory Distress Syndrome: Imaging of the injured lung. Clinical Radiology 57(1): 8–17PubMedCrossRefGoogle Scholar
  7. Elgeti H, Luska G (1988) Atemnotsyndrom des Erwachsenen. In: Frommhold IN, Diehlmann W, Stender HS, Thurn P. Radiologische Diagnostik in Klinik und Praxis. Thieme, Stuttgart New York, S 846–Google Scholar
  8. Jamadar DA, Kazerooni EA, Cascade PN, Fazzalari FL, Vydareny KH, Bartlett RH (1996) Extra corporal membrane oxygenation in adults: Radiographic findings and correlation of lung opacity with patient mortality. Radiology 198: 693–698PubMedGoogle Scholar
  9. Johnson MM, Ely EW, Chiles C, Bowton DL, Friemanas RI, Choplin RH, Haponkin EF (1998) Radiographic assessment of hyperinflation: correlation with objective chest radiographic measurements and mechanical ventilator parameters. Chest 113(6): 1698–1704PubMedCrossRefGoogle Scholar
  10. Lewandowski K, Lohbrunner H, Falke KJ (1996) Das akute Lungeversagen des Erwachsenen (ARDS): Pathophysiologie, Diagnose und Behandlung. Pneumologie 50: 505–517PubMedGoogle Scholar
  11. Lu Q, Malbouisson LM, Mourgeon E, Goldstein I, Coriat P, Rouby JJ (2001) Assessment of PEEP-induced reopening of collapsed lung regions in acute lung injury: are one or three CT sections representative of the entire lung? Intensive Care Med 27(9): 1504–1510PubMedCrossRefGoogle Scholar
  12. Luska G, Sybrecht GW, Kolbow H, Elgeti H (1979) The chest roentgenogram during artificial respiration. Prakt Anaesth 14: 130–137PubMedGoogle Scholar
  13. Markstaller K, Arnold M, Dobrich M, Heitmann K, Kramrodt J, Weiler N, Uthmann T, Eberle B, Thelen M, Kauczor HU (2001) Rofo Fortschr Geb Rontegenstr Neuen Bildgeb Verfahr 173 (9): 830–835CrossRefGoogle Scholar
  14. Miller WT, Gregory T, Friedurg J (1998) Thoracic CT in intensive care unit: Assessment of clinical usefulness. Radiology 209: 491–498PubMedGoogle Scholar
  15. Miniati AM, Pistolesi M (1993) Imaging strateg ies in detection and evaluation of ARDS. Schweiz med Wschr 123: 464–472PubMedGoogle Scholar
  16. Mittelmayer Ch, Ostendorf P, Riede UN (1977) Pathologisch-anatomische Untersuchungen bei der respiratorischen Insuffizienz bei Schock. I. Lichtmikroskopische und biochemische Analyse. Intensivmedizin 14: 252–262Google Scholar
  17. Nobauer-Huhmann IM, Eibenberger K, Schaefer-Prokop C, Steltzer H, Schlick W, Srasser K, Fridrich P, Herold CJ (2001) Changes in lung parenchyma after acute respiratory distress syndrome (ARDS). Assessment with high-resolution computed tomography. Eur Radiol 11 (12): 2436–2443PubMedCrossRefGoogle Scholar
  18. Ostendorf P, Birzle H, Vogel W, Mittermayer CH (1975) Pulmonary radiographic abnormalities in shock. Radiology 115: 257–263PubMedGoogle Scholar
  19. Papazian L, Paladini MH, Bregeon F, Thiion X, Durieux O, Gainnier M, Huiart L, Agostini S Auffrray JP (2002) Can the tomographic aspect characteristics of patients presenting with acute respiratory distress synd rome predict improvement in oxygenation-related response to the prone position? Anaesthesiology 97(3): 599–607CrossRefGoogle Scholar
  20. Puybasset L, Gusman P, Muller JC, Cluzel P, Coriat P, Rouby JJ (2000) Regional distribution of gas and tissue in acute respiratory distress syndrom. III. Consequences for the effects of positive end-expiratory pressure. CT Scan ARDS Study Group. Adult respiratory distress syndrome. ntensive Care Med 26(9): 1215–1227CrossRefGoogle Scholar
  21. Rouby JJ, Puybasset L, Cluzel P, Richecoeur J, Lu Q, Grenier P (2000) Regional distribution of gas and tissue in acute respiratory distress syndrom. II. Physiological correlation and definition of an ARDS severity score. CT scan ARDS study group. Intensive Care Med 26(8): 1046–1056PubMedCrossRefGoogle Scholar
  22. Rouby JJ, Puybasset L, Nieskowska A, Lu Q (2003) Acute respiratory distress syndrome: lessons from computed tomography of the whole lung. Crit Care Med 31: 285–295CrossRefGoogle Scholar
  23. Tagliabue M, Casella TC, Zincone GE, Fumagalli R, Salvini E (1994) CT and chest radiography in the evaluation of adult respiratory distress syndrome. Acta radiologica 35(3): 230–234PubMedGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2004

Authors and Affiliations

  • Günter Luska
  • Regine Saßen
  • Lars Schwarze

There are no affiliations available

Personalised recommendations